NOVA INTEGRATIVE HEALTH NPI 1912516303

NPI Information

  • NPI: 1912516303
  • Provider Name: NOVA INTEGRATIVE HEALTH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 229 E LOGAN ST
    CALDWELL, ID
    ZIP 83605
  • Phone: (208) 504-5959

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NPI Details

NOVA INTEGRATIVE HEALTH is a psychiatric/mental health nurse practitioner in Caldwell, ID. NOVA INTEGRATIVE HEALTH NPI is 1912516303. The provider is registered as an organization entity type.

The provider's business location address is:

229 E LOGAN ST
CALDWELL, ID
ZIP 83605-835
Phone: (208) 504-5959

The provider's authorized official is Johary Rodriguez .
The authorized official title is Nurse Practitioner and has the following contact phone number (208) 504-5959.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4261QP2300XClinic/CenterPrimary CareNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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